scholarly journals Clinical and Research Considerations for Patients With Hypertensive Acute Heart Failure: A Consensus Statement from the Society of Academic Emergency Medicine and the Heart Failure Society of America Acute Heart Failure Working Group

2016 ◽  
Vol 22 (8) ◽  
pp. 618-627 ◽  
Author(s):  
Sean P. Collins ◽  
Phillip D. Levy ◽  
Jennifer L. Martindale ◽  
Mark E. Dunlap ◽  
Alan B. Storrow ◽  
...  
Keyword(s):  
Heart Failure ◽  
Emergency Medicine ◽  
Acute Heart Failure ◽  
Working Group ◽  
Consensus Statement

scholarly journals A narrative review on the management of Acute Heart Failure in Emergency Medicine Department

2020 ◽  
Vol 30 (1) ◽  
pp. 171-178
Author(s):  
Amin Saberinia ◽  
Ali Vafaei ◽  
Parvin Kashani
Keyword(s):  
Heart Failure ◽  
Blood Pressure ◽  
Emergency Medicine ◽  
Acute Heart Failure ◽  
Severe Heart Failure ◽  
Positive Pressure ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Emergency Situations ◽  
Contemporary Management

The main urgent symptom presented to anemergency departmentis acute heart failure (AHF). In that considerable risksof morbidity and mortality, it isimportant to plan precision medicine to achieve the most suitable outcomes. The object of this review is to provide a summary of contemporary management proceduresof emergency medicine in a department of acute heart failure. Heart failure could be presented with a broad range of symptoms, in particular a sudden worsening of those of Chronic Obstructive Pulmonary Disease. The treatment should focus on acute and chronic underlying disorders with instructions focusing on haemodynamics and blood pressure status. Treatment of patients suffering with worsening symptoms of AHF mainly focuses on intravenous diuretics. In emergency situations, patients suffering with AHF with low blood pressure must receive emergency consultation and a primary fluid bolus therapy (range 250–500 mL) followed by inotropic therapy with or without antihypotensive agents. For treatment of severe heart failure and cardiogenic shock in patients treated with noradrenalin, when blood pressure support is required, a direct-acting inotropic agent, dobutamine, could be applied effectively. When non-invasive positive pressure ventilation is needed, suppliers must track for any possibility of sudden worsening, i.e., for acute de compensated heart failure. When cardiac output is high the disorder could be treated with vasopressor.

scholarly journals Clinical scenarios for use of transvalvular microaxial pumps in acute heart failure and cardiogenic shock – A European experienced users working group opinion

2019 ◽  
Vol 291 ◽  
pp. 96-104 ◽  
Author(s):  
Andreas Schäfer ◽  
Nikos Werner ◽  
Ralf Westenfeld ◽  
Jacob Eifer Møller ◽  
P. Christian Schulze ◽  
...  
Keyword(s):  
Heart Failure ◽  
Cardiogenic Shock ◽  
Acute Heart Failure ◽  
Working Group ◽  
Clinical Scenarios ◽  
Group Opinion
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